Monday, March 25, 2013

The Long-term Follow-up of Accommodative Esotropia in a Population-Based Cohort of Children

The Long-term Follow-up of Accommodative Esotropia in a Population-Based Cohort of Children


.... 306 children with accommodative esotropia were diagnosed during the study years; 244 (80%) were fully accommodative (FAET) and 62 (20%) were partially accommodative (PAET). The Kaplan-Meier rate of discontinuing spectacles for strabismus in this population was 8% by 5 years after diagnosis, 20% by 10 years, and 37% by 20 years. Children born prematurely ... or having a greater initial hyperopic refractive error ... were significantly less likely to become spectacle-free ..... During a median follow-up of 9.8 years (range, 0 to 27.9 years), ...13.5%... with FAET ...underwent strabismus surgery. [Males]... an earlier age at onset ... and ...[a diagnosis] of FAET were associated with a higher likelihood of requiring surgery.....[most] children with accommodative esotropia in this population continued to require spectacle correction into their second decade of life. A small proportion of children with FAET required surgical intervention, ....

Comments: Accommodative esotropes should be wearing mulitfocal lenses and undergoing optometric vision therapy to improve this functional vision problem. Click on the title to read the full article. DM



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